MARYLAND RESIDENT INCOME 502 TAX RETURN

1 2. Tax-exempt interest on state and local obligations (bonds) other than MARYLAND .. 2 . 3. State retirement pickup .. 3 . 4. Lump sum distributions (from worksheet in Instruction 12 .) .. 4 . 5. Other additions (Enter code letter(s) from Instruction 12 .) .. 5 . 6. Total additions to MARYLAND INCOME (Add lines 2 through 5 .) .. 6 . 7. Total federal adjusted gross INCOME and MARYLAND additions (Add lines 1 and 6 .) .. 7 .ADDITIONSTO INCOMESee Instruction 12 .Dates of MARYLAND Residence (MM DD YYYY) FROM TO Other state of residence: If you began or ended legal residence in MARYLAND in 2015 place a P in the box.

2 MILITARY: If you or your spouse has non- MARYLAND military INCOME , place an M in the box ..Enter Military INCOME amount here: 1 . Single (If you can be claimed on another person s tax RETURN , use Filing Status 6 .)2 . Married filing joint RETURN or spouse had no income3 . Married filing separately, Spouse SSN 4 . Head of household5 . Qualifying widow(er) with dependent child 6 . Dependent taxpayer (Enter 0 in Exemption Box (A) - See Instruction 7 .)PART-YEAR RESIDENTSee Instruction 26 .FILING STATUSCHECK ONE BOX See Instruction 1 if you are required to file .EXEMPTIONSSee Instruction 10 . Check appropriate box(es) . NOTE: If you are claiming dependents, you must attach the Dependents' Information Form 502B to this form to receive the applicable exemption amount.

3 1. Adjusted gross INCOME from your federal RETURN .. 1 . 1a. Wages, salaries and/or tips .. 1a . 1b . Earned INCOME .. 1b . 1c. Capital Gain or (loss) .. 1c . 1d. Taxable Pension, IRA, Annuities .. 1d . 1e. Check here if the amount of your investment INCOME is more than $3,400..INCOMESee Instruction 11 .Your Social Security Number Spouse's Social Security NumberYour First Name Initial Your Last Name Spouse's First Name Initial Spouse's Last NameCurrent Mailing Address (PO Box, number, street and apt . no)City or Town State ZIP Code OR FISCAL YEAR BEGINNING 2015, ENDING Name of county and incorporated city, town or special taxing area in which you resided on the last day of the taxable period.

4 (See Instruction 6.) MARYLAND CountyCity, Town or Taxing AreaA. Yourself Spouse ..Enter number checked See Instruction 10 A. $ B. 65 or over 65 or over Blind Blind Enter number checked X $1,000 .. B. $ C. Enter number from line 3 of Dependent Form 502B .. See Instruction 10 C. $D. Enter Total Exemptions (Add A, B and C.) .. Total Amount D. $2015 $ COM/RAD-009 MARYLAND FORM502 RESIDENT INCOMETAX RETURNP rint Using Blue or Black Ink OnlyPlace CHECK or MONEY ORDER on top of your W-2 wage and tax statements and ATTACH HERE with ONE stapleNAME SSN 18. Net INCOME (Subtract line 17 from line 16 .).

5 18 . 19. Exemption amount from Exemptions area (See Instruction 10 .) ..19 . 20. Taxable net INCOME (Subtract line 19 from line 18 .) ..20 .MARYLANDTAX COMPUTATIONLOCAL TAX COMPUTATION 21. MARYLAND tax (from Tax Table or Computation Worksheet Schedules I or II) ..21 . 22. Earned INCOME credit ( of federal earned INCOME credit . See Instruction 18 .) .. 22 . 23. Poverty level credit (See Instruction 18 .) .. 23 . 24. Other INCOME tax credits for individuals from Part J, line 10 of Form 502CR (Attach Form 502CR.) ..24 . 25. Business tax credits 26. Total credits (Add lines 22 through 25 .) ..26 . 27. MARYLAND tax after credits (Subtract line 26 from line 21.)

6 If less than 0, enter 0 ..27 ..You must file this form electronically to claim business tax credits on Form 500CR. 28. Local tax (See Instruction 19 for tax rates and worksheet .) Multiply line 20 by your local tax rate .0 or use the Local Tax Worksheet .. 28 . 29. Local earned INCOME credit (from Local Earned INCOME Credit Worksheet in Instruction 19 .) .. 29 . 30. Local poverty level credit (from Local Poverty Level Credit Worksheet in Instruction 19 .) .. 30 . 31. Local tax credit from Part K, line 1 of Form 502CR (Attach Form 502CR.) ..31 . 32. Total credits (Add lines 29 through 31 .) .. 32 . 33. Local tax after credits (Subtract line 32 from line 28.)

7 If less than 0, enter 0 ..33 . 34. Total MARYLAND and local tax (Add lines 27 and 33 .) ..34 . 35. Contribution to Chesapeake Bay and Endangered Species Fund (See Instruction 20 .) .. 35 . 36. Contribution to Developmental Disabilities Services and Support Fund (See Instruction 20 .) . 36 . 37. Contribution to MARYLAND Cancer Fund (See Instruction 20 .) .. 37 . 38. Contribution to Fair Campaign Financing Fund (See Instruction 20 .) .. 38 . 39. Total MARYLAND INCOME tax, local INCOME tax and contributions (Add lines 34 through 38 .) . 39 . 40. Total MARYLAND and local tax withheld (Enter total from your W-2 and 1099 forms if MD tax is withheld and attach.)

8 40 . 41. 2015 estimated tax payments, amount applied from 2014 RETURN , payment made with an extension request, and Form MW506 NRS .. 41 . 42. Refundable earned INCOME credit (from worksheet in Instruction 21) .. 42 . 43. Refundable INCOME tax credits from Part L, line 6 of Form 502CR (Attach Form 502CR. See Instruction 21 .) ..43 . 44. Total payments and credits (Add lines 40 through 43 .) ..44 . All taxpayers must select one method and check the appropriate box. STANDARD DEDUCTION METHOD (Enter amount on line 17 .) ITEMIZED DEDUCTION METHOD (Complete lines 17a and 17b .) 17a. Total federal itemized deductions (from line 29, federal Schedule A).

9 17a . 17b. State and local INCOME taxes (See Instruction 14 .) .. 17b . Subtract line 17b from line 17a and enter amount on line 17 . 17. Deduction amount (Part-year residents see Instruction 26 (l and m) .) .. 17 . DEDUCTION METHODSee Instruction 16 . 8. Taxable refunds, credits or offsets of state and local INCOME taxes included in line 1 .. 8 . 9. Child and dependent care expenses .. 9 . 10. Pension exclusion from worksheet in Instruction 13 .. 10 . 11. Taxable Social Security and RR benefits (Tier I, II and supplemental) included in line 1 .. 11 . 12. INCOME received during period of nonresidence (See Instruction 26.)

10 12 . 13. Subtractions from attached Form 502SU .. 13 . 14. Two- INCOME subtraction from worksheet in Instruction 13 .. 14 . 15. Total subtractions from MARYLAND INCOME (Add lines 8 through 14 .) .. 15 . 16. MARYLAND adjusted gross INCOME (Subtract line 15 from line 7 .) ..16 . SUBTRACTIONSFROM INCOMESee Instruction 13 .2015 COM/RAD-009 MARYLAND FORM502 RESIDENT INCOMETAX RETURNPage 2 45. Balance due (If line 39 is more than line 44, subtract line 44 from line 39 . See Instruction 22 .) .. 45 . 46. Overpayment (If line 39 is less than line 44, subtract line 39 from line 44 .) .. 46 . 47. Amount of overpayment TO BE APPLIED TO 2016 ESTIMATED TAX 47.